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Folic acid: ? Should you see a doctor before you get pregnant

Should women go to the specialist before becoming pregnant? Why can a preconception visit to the gynecologist be important?

The Spanish Society of Gynecology and Obstetrics (SEGO) recommends going to the doctor when a pregnancy is planned, that is, going to a preconception consultation.

According to Dr. Marina Antón, a specialist in Obstetrics and Gynecology at the Ramón y Cajal University Hospital in Madrid, the consultation should be through Primary Care or a specialist doctor in order to identify the social and medical conditions that can improve before pregnancy, as well be able to avoid unwanted risks. expectant parenting classes.

"It is essential to see your primary care physician make a right clinical history and distinguish those clinical precursors, for example, hypertension, diabetes mellitus, hypothyroidism, epilepsies, and numerous different illnesses that can condition the aftereffects of pregnancy," says the gynecologist. previously established inclination agenda.

It is important to know the woman's antecedents in reproductive factors, such as abortions, premature birth, etc; something by which it can be prevented, treat some associated causes, preventing it from occurring in future pregnancies. pregnancy consultation with a doctor.

Dr. Anton, remarks that every woman or couples who wish to become pregnant must follow a series of cares and precautions: "A healthy lifestyle should be promoted, that is, have balanced nutrition, avoid being overweight, the consumption of toxic substances such as alcohol or drugs, as well as regular moderate physical exercise. "

In addition, avoid taking drugs that can be teratogens for a future pregnancy (drugs that can cause fetal malformations), apart from warning that exposure to chemicals can cause abnormalities in the embryo. pregnancy consultation appointment.

Some of the most common environmental toxins are pesticides, gases (carbon monoxide), radiation, plastic solvents, and mercury. Women who are pregnant or planning a pregnancy should avoid prolonged exposures to the previous ones, ”says Dr. Marina Antón Marazuela. preconception checkup UK.

Taking folic acid before pregnancy

Another important piece of information for those women who are planning to become pregnant is the prior intake of folic acid. “A diet rich in folates is currently recommended, together with supplementary pharmacological intake with folates, in all women who are planning a pregnancy. preconception ultrasound.

The neural tube is the embryonic structure that, as it develops, becomes the brain and spinal cord. There is strong evidence on reducing the incidence of neural tube defects with the consumption of adequate amounts of folates before conception and during pregnancy, "he explains. surgery before pregnancy.

Moreover, it maintains that it is "very important" that its administration be daily. “An appropriate diet can provide around 0.25 mg/day of folates, so it is essential to associate a pharmacological supplement with folates with the correct diet. For the prevention of neural tube defects, supplementation should begin between 4 and 12 weeks prior to conception, "says the expert. pre-pregnancy counseling icd-10.

On the other hand, if a pregnancy is desired but it is not achieved, the specialist in Obstetrics and Gynecology at the Ramón y Cajal University Hospital in Madrid indicates that a specialist should be consulted when pregnancy is not achieved after a year of sexual intercourse without protection. preconception checkup near me. preconception checkup for him.

"When this happens, the couple must go to the specialist doctor to carry out a correct medical history and physical examination, and later request a series of complementary tests to begin the study of possible sterility," says Dr. Antón Marazuela. checklist for preconception.

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